Insurance Claims Resolution Specialist
2 weeks ago
Insurance Follow-Up Representative Overview: We are seeking qualified individuals to support insurance follow-up operations. In this position, you will collaborate with a healthcare organization's central business office to address outstanding insurance balances by reviewing payer balances, contracts, and Explanation of Benefits (EOBs) for suitable resolution.
Key Responsibilities:
- Proactively engage in measures that lead to account resolution.
- Respond promptly and accurately to all incoming communications and inquiries from insurance providers and other relevant parties.
- Contact patients as necessary to facilitate account resolution.
- Develop recommendations and action plans for resolving accounts effectively.
- Handle all phone inquiries in a professional and courteous manner.
- Document appropriate notes in the system for each account, detailing any actions taken.
- Review EOBs to ensure that the necessary steps are executed in resolving accounts.
- Conduct follow-up and system actions as required according to MedCycle guidelines.
- Perform additional duties as assigned by management.
Qualifications:
- Proficiency in Microsoft Office applications, including Outlook, Word, and Excel.
- Attention to detail and the ability to research accounts to achieve appropriate resolutions.
- Familiarity with medical terminology and a fundamental understanding of insurance processes.
- Capability to solve practical problems and manage a variety of concrete variables in situations with limited information.
Preferred Experience:
- High school diploma or equivalent; or one to three years of related experience and/or training; or a combination of education and experience.
- A background in healthcare with experience in patient financial services is preferred.
- Prior experience in insurance billing and/or follow-up is advantageous.
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Insurance Claims Resolution Specialist
1 week ago
Brentwood, Tennessee, United States MedCycle Management Full timeJob OverviewInsurance Follow-Up Representative Overview: We are seeking qualified individuals to support insurance follow-up operations. In this position, you will collaborate with a healthcare facility's central business office to manage outstanding insurance balances, examining payer balances, contracts, and Explanation of Benefits (EOBs) for effective...
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Insurance Claims Resolution Specialist
1 week ago
Brentwood, Tennessee, United States MedCycle Management Full timeJob DescriptionInsurance Follow-Up Representative Overview: We are seeking qualified individuals to engage in insurance follow-up activities. In this position, you will collaborate with a healthcare facility's central business office to address outstanding insurance balances, analyze payer balances, contracts, and Explanation of Benefits (EOBs) to ensure...
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